In-vitro Fertilization is the process of fertilization by extracting eggs, retrieving a sperm sample, and then manually combining an egg and sperm in embroyology lab. After the fertilised egg (zygote) undergoes embryo culture for 2–6 days, it is implanted in a uterus, with the intention of establishing a successful pregnancy. IVF is advised when the patient is diagnosed with problems with the fallopian tubes, or poor ovarian reserve It can also assist in cases where there is a low sperm count.
IVF techniques can differ from clinic to clinic, often depending on your individual circumstances. A typical IVF treatment may involve:
Suppressing natural monthly hormone cycle
As a first step to the IVF process, you may be given a drug to suppress your natural cycle. Treatment is given either as a daily injection (which is normally self-administered unless you are not able to do this yourself). This continues for about two weeks.
Boosting the egg supply
After the natural cycle is suppressed, you are given a fertility hormone called FSH (or Follicle Stimulating Hormone). This is usually taken as a daily injection for around 12-14 days. This hormone will increase the number of eggs you produce - meaning that more eggs can be retrieved and fertilised. With more fertilised eggs, the patient has a greater choice of embryos to use for implantation.
Checking on progress
Throughout the drug treatment, the clinic will monitor the progress. This is done by vaginal ultrasound scans and, possibly, blood tests. Trigger (hormone) injection will be given for final maturation of eggs (usually more than 3 follicles of greater than 18 mm in size).
Collecting the eggs
After 34-38 hours of trigger injection, the eggs are usually collected by ultrasound guidance under sedation or mild anaesthesia. This involves a needle being inserted into the scanning probe and into each ovary. The eggs are, in turn, collected through the needle.
Cramping and a small amount of vaginal bleeding can occur after the procedure.
Fertilising the eggs
Collected eggs are mixed with husband's sperm and cultured in the laboratory for 16–20 hours. They are then checked to see for fertilization. Those that have been fertilised (now called embryos) are grown in the laboratory incubator for another one - two days before being checked again. The best one or two embryos will then be chosen for transfer.
After egg collection, medication is given to help prepare the lining of the endometrium for embryo transfer. This is given as pessaries, injection or gel.
One or two embryos can be transferred. The number of embryos is restricted because of the risks associated with multiple births. Remaining embryos may be frozen for future FET attempts, if they are suitable.
Some clinics may also offer blastocyst transfer, where the fertilised eggs are left to mature for five to six days and then transferred.
IVF can be considered expensive for most families. However, we offer many financial solutions to help people become parents.
Our offers are varied and encompass a cross section of population.
You can avail the following offers, right now:
At Kamineni, an ICMR recognized clinic, we stay ahead on all the new developments in the ever-growing field of reproductive medicine. By optimizing assisted reproductive technologies and providing ethical and transparent procedures, we raise the bar of excellence, so patients achieve their ultimate goal – being parents. We are a team of skilled, experienced doctors, nurses and staff dedicated to caring for patients through thoughtful, cost-effective and, most importantly, honest treatment with an individualized, tailored approach. Our outstanding reputation for state-of-the-art labs, patient care and high success rates have been recognized across India.
Our entire team of fertility experts works collaboratively to come up with an effective treatment plan tailor-made for each patient.
Although IVF is a common procedure, many people have questions regarding the procedure. Here are some questions and their answers:
Egg retrieval typically takes under 30 minutes, depending on how many follicles are present.
No, since the retrieval is done under anaesthesia. Our anaesthesia specialists use medications to partially sedate patients. This approach helps the patients avoid typical side effects of full anaesthesia like nausea and vomiting.
No. Studies have shown that ovaries seem to be unaffected by stimulation and egg retrieval.
Light spotting and cramping are common after an egg retrieval.
Not necessarily. Egg is usually obtained from most large follicles (over 15 mm after stimulation), as smaller follicles only occasionally yield mature eggs.
No, patients can only feel the speculum and nothing else.
We recommend that taking rest for remainder of the day, but routine activities can be resumed the next day. If there is an increased risk of ovarian hyperstimulation, we will recommend reducing activity for a few days until the hyperstimulation resolves.
During the insemination stage, doctor may also inject the sperm directly into the egg instead, a process known as intracytoplasmic sperm injection (ICSI). This happens especially when there is low sperm motility.
Typically, yes. This is to overcome any “hardness” of the shell (the zona pellucida) surrounding the embryo.
Embryos that have developed to the blastocyst stage but are not transferred during the transfer cycle will be cryopreserved (frozen) if that is your wish.
We schedule a pregnancy test 10 days after embryo transfer.
We recommend waiting one full menstrual cycle before undergoing another IVF stimulation. It can take up to 6 weeks for inflammation to resolve; therefore, it is reasonable to wait a similar amount of time before restarting the process.
If you have further questions about IVF or would like to schedule a consultation with one of our experienced fertility doctors, please feel free to contact us
Our patients have always provided their honest opinion about our services. Our patients are our assets and we have always worked towards making their parenthood dreams come true. Their honest opinions and stories are always cherished. Their stories have always inspired us to do more, offer more and help more dreams come true.
We are very thankful to Dr. M Niharika and her team for detecting my wife’s health issues and giving the best possible IVF treatment.
The Doctor understood our concerns and helped us through the pregnancy procedure. THANK YOU for bringing happiness in our lives.
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